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General NPI Number Information
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NPI Number | 1326128885
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Entity Type | Individual
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Provider Name | GARY L GOLDBERG MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | INSTITUTE FOR WOMEN'S HEALTH 1695 EASTCHESTER ROAD
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-405-8086
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Fax |
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Provider Business Mailing Address
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Address Line | 399 OXFORD RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-3317
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Country | US
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Telephone | 718-405-8200
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Fax | 718-405-8216
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 168563
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License Number State | NY
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